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Nationwide rates for HCPCS 81234

DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles

Facilitymedian $219 · 10th–90th $112$6170%10%10th90th$219Professionalmedian $112 · 10th–90th $74$2240%20%10th90th$112$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $239.88 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $109.65 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $186.21 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $95.50 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $269.15 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $154.88 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $138.04 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $194.98